Orlando Medicare Fraud Defense Attorney

Federal justice system officials aggressively investigate and prosecute individuals in the health care industry who knowingly submit false statements or misrepresent facts to obtain payment from Medicare or Medicaid. If convicted of this type of fraud, you can face very serious consequences, including thousands of dollars in fines, loss of your professional license and career, and significant prison time.

If you are being investigated for Medicare or Medicaid fraud, your future is at risk. Having an experienced Orlando healthcare fraud attorney intervene early on your behalf is in your best interest. If, however, you’ve already been charged with fraud, you definitely need an experienced Medicare/Medicaid fraud defense attorney.

Jonathan Rose has been practicing law for twenty years. As a former prosecutor, he knows the tactics investigators and prosecutors use in preparing cases and will develop an aggressive defense strategy that will best protect your interests.

Medicare Fraud Laws

There are several federal statutes dealing with Medicare fraud:

The False Claims Act is the most basic, prohibiting an individual from issuing a fraudulent claim for payment by the government, conspiring to submit a fraudulent claim, or receiving funds from a fraudulent claim.

The federal Anti-Kickback Statute prohibits business transactions between health care industry providers that are intended to induce or reward referrals for services or items paid for by Medicare or Medicaid.

The Stark Law encodes a system for preventing physicians from referring patients to health care industry organizations that they have a financial interest in.

Medicare fraud convictions require proof beyond a reasonable doubt that you knowingly and/or willfully submitted a fraudulent claim, engaged in kickbacks, violated the provisions of the Stark Law, or committed another act of health care fraud. However, you can be convicted on the basis of having acted with deliberate ignorance of or reckless disregard for the truth or falseness of a claim.

Examples of Medicare Fraud include, but are not limited to:

Submitting false claims to CMS

Billing for services or supplies that weren’t provided

Billing for tests or treatments separately when the procedure code bundles them together

Billing for a higher code than the service provided

Performing tests or treatments that were not medically necessary

As these examples suggest, the charges depend on your having acted knowingly and/or willfully in some cases, but in others, the standard of care and medical necessity are at issue. To defend against these charges, you need an experienced health care fraud attorney who understands the standard of care, clinical practice guidelines, and conditions of payment.

Defending Against Medicare and Medicaid Fraud Charges

In recent years, the federal government has been conducting more intensive, aggressive investigations of health care fraud. The U.S. Attorney’s Health Care Fraud Division can use previous employees, patients, and other confidential informants to help their investigation and prosecution, so you need a defense attorney who understands CMS regulations and health care fraud laws to fight for your rights and protect your interests.

As your attorney, Jonathan Rose will develop the best defense strategy possible. For example, the government’s witnesses might not be credible. The investigation might not have uncovered all of the facts, and/or incidental errors or negligence could have been mistaken for fraud.

The best defense, however, is an early defense. If you are being questioned or investigated about potential fraud, be sure to contact the Jonathan Rose law firm. The prosecutors may try to get information from you, but you should not talk with them before consulting with an attorney who specializes in health care fraud cases. At the Jonathan Rose law firm, we will put our knowledge of health care law and the federal justice system to work for you, analyzing investigation data and negotiating with prosecutors on your behalf.

Protecting Your Future

Medicare and Medicaid fraud are serious charges that can result in a felony conviction. Fines up to $250,000, prison terms up to 10 years, and loss of licensure are not uncommon sentences. Even if you are not prosecuted on criminal charges, you could still lose your professional license, and you could be excluded from CMS programs.

Getting legal help from an experienced Medicare fraud attorney is crucial to protecting your future. You need a federal defense attorney who focuses on fighting for the rights of physicians and other health care providers in criminal proceedings and with licensing boards and regulatory agencies.

If you are being investigated by the state or federal government for Medicare or Medicaid fraud, please contact the Jonathan Rose law firm as soon as possible. Attorney Rose has over 20 years of experience as a trial attorney and the expertise you need to develop a strong, comprehensive defense strategy to protect your rights, freedom, and future.

Charlene D.

"Mr. Rose is a GOD SEND. I got caught up in a very unfortunate situation working at an SNF and I was immediately referred to Mr. Rose. From the start he assured me that this could be handled. I looked at his success rate online and knew I was in good hands. In the end I was able to keep my nursing with NO disciplinary action on record."

Jonathan Rose, P.A.

5

2019-06-12T17:30:33-04:00

"Mr. Rose is a GOD SEND. I got caught up in a very unfortunate situation working at an SNF and I was immediately referred to Mr. Rose. From the start he assured me that this could be handled. I looked at his success rate online and knew I was in good hands. In the end I was able to keep my nursing with NO disciplinary action on record."

https://www.jonathanrosepa.com/testimonials/charlene-d/

Deborah M.

"Extremely knowledgeable and effective defense. Protected my license, and saved me a lot of additional trouble. Talks straight with you and not down to you."

Jonathan Rose, P.A.

5

2019-06-12T17:31:35-04:00

"Extremely knowledgeable and effective defense. Protected my license, and saved me a lot of additional trouble. Talks straight with you and not down to you."

https://www.jonathanrosepa.com/testimonials/deborah-m/

Donna

"I retained Jonathan when a complaint was filed against me with the Department of Health and Board of Nursing. His compassion, knowledge of the law and advice helped me and my family get through the ensuing months. I am happy to say that the Department of Health found no probable cause in the allegations against me so I now have my life back."

Jonathan Rose, P.A.

5

2019-06-12T17:32:51-04:00

"I retained Jonathan when a complaint was filed against me with the Department of Health and Board of Nursing. His compassion, knowledge of the law and advice helped me and my family get through the ensuing months. I am happy to say that the Department of Health found no probable cause in the allegations against me so I now have my life back."

https://www.jonathanrosepa.com/testimonials/donna/

Rabiatu

This guy right here is a life saver, a friend of mine referred me to him. I worked at a poorly managed facility, something went wrong one night, which I was not even part of. My employer sent my name to the board of nursing and they wanted the board to take my license away from me. Jonathan took my case and assured me that he will do every thing in his power to save my license, and he did just that.

Jonathan Rose, P.A.

5

2019-06-12T17:35:37-04:00

This guy right here is a life saver, a friend of mine referred me to him. I worked at a poorly managed facility, something went wrong one night, which I was not even part of. My employer sent my name to the board of nursing and they wanted the board to take my license away from me. Jonathan took my case and assured me that he will do every thing in his power to save my license, and he did just that.

https://www.jonathanrosepa.com/testimonials/rabiatu/

Crystal

"Jonathan was referral to us as we needed some very specific legal representation for an unforeseen circumstance last year. From start to finish, Jonathan was working on my case right away and kept in touch with me with any new developments on my case and completed his services in my favor in a very timely manor. He is also very easy to communicate with! Many thanks Jonathan! He is a 5 star attorney."

Jonathan Rose, P.A.

5

2019-06-12T17:36:38-04:00

"Jonathan was referral to us as we needed some very specific legal representation for an unforeseen circumstance last year. From start to finish, Jonathan was working on my case right away and kept in touch with me with any new developments on my case and completed his services in my favor in a very timely manor. He is also very easy to communicate with! Many thanks Jonathan! He is a 5 star attorney."

https://www.jonathanrosepa.com/testimonials/crystal/

Jennifer

"I retained Mr. Rose regarding an administrative law matter. He was consistently responsive (even during non-work hours), empathic, honest about my case, and direct. My case was somewhat complicated and he helped me navigate a successful resolution while remaining patient and in communication with me during a very stressful time. I've worked with a large number of attorneys and I recommend Mr. Rose without reservation."

Jonathan Rose, P.A.

5

2019-06-12T17:37:38-04:00

"I retained Mr. Rose regarding an administrative law matter. He was consistently responsive (even during non-work hours), empathic, honest about my case, and direct. My case was somewhat complicated and he helped me navigate a successful resolution while remaining patient and in communication with me during a very stressful time. I've worked with a large number of attorneys and I recommend Mr. Rose without reservation."

https://www.jonathanrosepa.com/testimonials/jennifer/

Cristie C.

"This lawyer has delivered positive outcome within the timeframe he said it would take."

Jonathan Rose, P.A.

5

2020-04-06T14:46:20-04:00

"This lawyer has delivered positive outcome within the timeframe he said it would take."

https://www.jonathanrosepa.com/testimonials/cristie-c/

Ellena C.

"I recently acquired the services of Jonathan Rose, and I must say that he is amazing. I am a nurse who had a past substance abuse issue. In an act of retaliation, someone I knew opened a case against me. Just when I thought this was certain death to my career, Jonathan went to bat for me, and he hit a home-run. Thankfully within less than a year, I am walking with no marks on my license and the whole thing was thrown out."

Jonathan Rose, P.A.

5

2020-04-06T14:47:51-04:00

"I recently acquired the services of Jonathan Rose, and I must say that he is amazing. I am a nurse who had a past substance abuse issue. In an act of retaliation, someone I knew opened a case against me. Just when I thought this was certain death to my career, Jonathan went to bat for me, and he hit a home-run. Thankfully within less than a year, I am walking with no marks on my license and the whole thing was thrown out."

Above all else, attorney Jonathan Rose believes in the Constitution and in a person’s right to be represented by a capable lawyer during what may be one of his or her most difficult times in life. Whether you are facing criminal charges or an allegation of professional misconduct, he focuses on finding a solution that meets your current needs while also protecting your future.

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Caring for Our Community During This Time of Unprecedented Uncertainty:
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During this time of unprecedented uncertainty, we are committed to helping clients in need of representation.

If you need assistance, please call us at 407.894.4555 or submit the “tell us what happened” form on our website. We are here to protect rights and are available to help you during this challenging time.